Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Wayne Shepherd, PA

Individual provider Physician Assistant · NPI 1366164212

Nicholas Wayne Shepherd, PA is a Physician Assistant in Mount Vernon, Washington. Qualified in 2022, 4 years ago. Practices with Public Hospital Dist No 1 Skagit, a 321-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2320 Freeway Dr
Mount Vernon, WA 98273-5445
Phone: (360) 814-6800
Fax: (360) 814-6953
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 E Kincaid St, Mount Vernon, WA 98274-4127 — (360) 428-2550

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA61352920 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA61352920 (WA)

Record details

NPI number1366164212
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 16, 2022
Last updated in NPPESNovember 18, 2022
Certification dateNovember 18, 2022
Mailing address1400 E Kincaid St, Mount Vernon, WA 98274-4127

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Public Hospital Dist No 1 Skagit — 321 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mount Vernon